resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
September, 2001, Vol. 01, Issue 09
It's "Back to School" Time!
By Cliff Korn, BS, LMT, NCTMB
Becoming a massage therapist requires a great deal of preparation, perhaps the most visible and tangible being basic education. In the not-so-distant past, the most common forms of massage education were mentoring and apprenticeship.This is no longer the case; in fact, in many jurisdictions apprenticeship is no longer recognized as valid educational eligibility for the legal right to practice. These days, almost all prospective massage therapists go to school. Jurisdictions no longer recognize the validity of apprenticeship, primarily because the quality of instruction is so difficult to gauge.
How does one equate an apprenticeship to standardized vocational training in a school setting? Vocational schools are almost always under the oversight of a state Department of Education. However, as we all know, massage education is far from "standardized." Without going into the quantity of education required to practice -- that's a discussion for another day -- my concern in this article is the quality of education received by massage therapists entering the field today.
Formal schooling appears to have many benefits over apprenticeship. In a regulated environment, regulating entities should have an easier time verifying eligibility criteria. In an unregulated environment, prospective clients should be able to benefit from the reputation of an institution that graduates many therapists. Prospective students should be able to realize economies of scale from an institution that provides services to many students. A matriculating student should be able to benefit from feedback from multiple instructors and peers. But is formal schooling providing these benefits? If so, why do so many practicing first- and second-year therapists indicate to me that they are pretty good, "in spite of" their schooling? More important to the public, why is it that a given number of schools, all with state Department of Education oversight, will graduate just as many classes with vastly different levels of ability and/or knowledge? Has the business of massage education superceded the duty of massage education: to best prepare a student to be competitive as a practicing therapist? Lastly, why do so many recent graduates complain that they were ill prepared for how incredibly difficult it can be to establish a full-time practice that actually pays the bills?
Let me interject that I am not starting a rant on the sorry state of massage education in the U.S.! There is much superb massage schooling available to the ever-increasing numbers of potential students. What I am saying is that I believe there is much too much disparity in the levels of educational quality within any given state, and certainly among states. I see two causes of this phenomenon. First, precious few instructors of massage therapy have had any formal training in education, other than an in-house qualification program. Second, a massage school that markets effectively can succeed financially without obtaining institutional and/or programmatic accreditation.
The scarcity of experienced teachers is problematic for students and school owners alike. The inability to hire enough individuals capable of meeting appropriate guidelines forces schools to staff positions with less than desirable candidates. In my state, an instructor must possess the following qualifications to teach in a post-secondary private vocational institution:
These qualifications are very similar to those in many other states. While the situation of last year's student being this year's teacher is not as prevalent as it was several years ago, I feel certain that many of today's massage instructors have neither a teaching credential nor five years experience. It is my observation that regulators overseeing post-secondary education tend not place much emphasis on proprietary vocational schoolteacher qualifications.
The lack of ubiquitous school accreditation compounds this problem. I applaud those schoolowners who go the extra mile and spend the extra money to have their institutions and programs accredited by valid accrediting bodies. While there are many unaccredited schools providing superior education, it is my opinion that the accredited schools are those that best:
I find that ill-trained massage therapists are not just a problem to be solved by a free market economy. These therapists are a problem for your practice and my practice. Today's clients walk in the door with expectations they didn't have 10 or 15 years ago. We have made great strides in educating the public on the benefits of massage therapy. A colleague I was speaking to by telephone mentioned that potential clients have the expectation that we, as massage therapists, have viable protocols for the management of muscular dysfunction and can pull from a large tool bag of options to benefit our clients. Even clients booking appointments for the more pampering aspects of our trade frequently present with low back and/or neck issues that need to be addressed before they can relax on the table. Therapists who aren't competitive in ability and provide less- than-expected service can turn clients off massage therapy forever. On the other hand, if they lack the knowledge and ability because they were never taught properly, how much can we blame them?
Kudos to those schools who are solving these problems every day!
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today. Please send all correspondence by e-mail to , or by regular mail to the address listed below:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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